MEDICARE: MRS. EMILY KNAPP LLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401012468	MI

General Provider Information

NPI Number	:	1033550363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY KNAPP LLPC

Provider Business Mailing Address
First Line	:	7150 LAKE LEELANAU DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-9536
Country	:	US
Telephone Number	:	231-649-2126
Fax Number	:

Provider Business Practice Location Address
First Line	:	7150 LAKE LEELANAU DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-9536
Country	:	US
Telephone Number	:	231-649-2126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	12/05/2022

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